| NPI | 1932181971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C164884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX L5161) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2023-03-07 |